Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical
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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... Treatment depends ... maintained fever CAUSES ... #Hyperthermia #Differential ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... thoracotomy is a better treatment ... Plan definitive management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... o Aspiration, pulmonary ... Airway #Pressure #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... an appropriate critical ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Thickening on Echocardiogram ... - Differential ... #Thickening #Echocardiogram ... #clinical #a4c ... #comparison #Differential
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Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... ❹ Call for MH treatment ... Plan admission to critical ... COMPLICATIONS AND OUTLINE TREATMENTS ... Checklist #Diagnosis #Management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection β€’ Echocardiogram ... Goodpasture's cause ... Renal #Syndromes #differential ... #diagnosis #management ... #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... , Medications (anesthesia ... Shock #diagnosis #differential
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
non-productive cough, nausea ... failure β€’ Severe pulmonary ... Epidemiologic exposure + clinical ... microbiology #diagnosis #treatment ... #management